Solid pseudopapillary neoplasm of the pancreas in children is rare, and the most common localization of the tumor is the tail. The authors encountered such a case in a 10-year-old girl with a giant solid pseudopapillary neoplasm at the uncinate process of the pancreas. Imaging examination showed there was a distinct distance between the neoplasm and the main pancreatic duct. Using a 4-port transperitoneal laparoscopic technique, complete resection of the tumor was successfully performed. Laparoscopic approach appears to be safe and feasible in children with solid pseudopapillary neoplasm, and an organ-preservation operation can be successfully performed if there is no communication between the tumor and the pancreatic ductal system.
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References
1.
YuDC, KozakewichHP, Perez-AtaydeAR, ShambergerRC, WeldonCB. Childhood pancreatic tumors: A single institution experience. J Pediatr Surg, 2009; 44:2267–2272.
2.
FrantzVK. Papillary tumors of the pancreas: Benign or malignant tumors of the pancreas. FrantzVK. Atlas of Tumor Pathology. 1st Series. Fascicles 27 and 28. Washington, DC: Armed Forces Institute of Pathology, 1959; 32–33.
3.
MatosJM, GrützmannR, AgaramNP, SaegerHD, KumarHR, LillemoeKD, SchmidtCM. Solid pseudopapillary neoplasms of the pancreas: A multi-institutional study of 21 patients. J Surg Res, 2009; 157:e137–e142.
4.
KangCM, KimHG, KimKS, ChoiJS, LeeWJ, KimBR. Laparoscopic distal pancreatectomy for solid pseudopapillary neoplasm of the pancreas-report of two cases. Hepatogastroenterology, 2007; 54:1053–1056.
5.
UchidaH, GotoC, KishimotoH, KawashimaH, SatoK, YoshidaM, TakazawaS. Laparoscopic spleen-preserving distal pancreatectomy for solid pseudopapillary tumor with conservation of splenic vessels in a child. J Pediatr Surg, 2010; 45:1525–1529.
6.
GohBK, TanYM, CheowPC, ChungAY, ChowPK, WongWK, OoiLL. Solid pseudopapillary neoplasms of the pancreas: An updated experience. J Surg Oncol, 2007; 95:640–644.
7.
NgDZ, GohBK, ThamEH, YoungSM, OoiLL. Cystic neoplasms of the pancreas: Current diagnostic modalities and management. Ann Acad Med Singapore, 2009; 38:251–259.
8.
ChoiSH, KimSM, OhJT, ParkJY, SeoJM, LeeSK. Solid pseudopapillary tumor of the pancreas: A multicenter study of 23 pediatric cases. J Pediatr Surg, 2006; 41:1992–1995.
9.
PapavramidisT, PapavramidisS. Solid pseudopapillary tumors of the pancreas: Review of 718 patients reported in English literature. J Am Coll Surg, 2005; 200:965–972.
10.
LackEE, CassadyJR, LeveyR, VawterGF. Tumors of the exocrine pancreas in children and adolescents. A clinical and pathologic study of eight cases. Am J Surg Pathol, 1983; 7:319–327.
11.
MachadoMA, MakdissiFF, SurjanRC, MachadoMC. Laparoscopic resection of uncinate process of the pancreas. Surg Endosc, 2009; 23:1391–1392.
12.
PotrcS, KavalarR, HorvatM, GadzijevEM. Urgent Whipple resection for solid pseudopapillary tumor of the pancreas. J Hepatobiliary Pancreat Surg, 2003; 10:386–389.
13.
ParkAE, HenifordBT. Therapeutic laparoscopy of the pancreas. Ann Surg, 2002; 236:149–158.
14.
SokolovYY, StonoginSV, DonskoyDV, PovarninOY, VilesovAV. Laparoscopic pancreatic resections for solid pseudopapillary tumor in children. Eur J Pediatr Surg, 2009; 19:399–401.
15.
MelottiG, CavalliniA, ButturiniG, PiccoliM, DelvecchioA, SalviC, PederzoliP. Laparoscopic distal pancreatectomy in children: Case report and review of the literature. Ann Surg Oncol, 2007; 14:1065–1069.
16.
CarricaburuE, EnezianG, BonnardA, BerrebiD, BelarbiN, HuotO, AigrainY, de LagausieP. Laparoscopic distal pancreatectomy for Frantz's tumor in a child. Surg Endosc, 2003; 17:2028–2031.
17.
KendrickML, CusatiD. Total laparoscopic pancreaticoduodenectomy: Feasibility and outcome in an early experience. Arch Surg, 2010; 145:19–23.
